Mahogany Nicole Wilson, in Hurst, TX - Medicare Social Worker Provider

Mahogany Nicole Wilson, is a medicare enrolled "Social Worker - Clinical" provider in Hurst, Texas. Her current practice location is 615 W Harwood Rd, Hurst, Texas. You can reach out to her office (for appointments etc.) via phone at (817) 863-7099.

Mahogany Nicole Wilson is licensed to practice in Texas (license number 61015) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1073168118.

Contact Information

	Mahogany Nicole Wilson,
	615 W Harwood Rd, Hurst, TX 76054-3106
	(817) 863-7099
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mahogany Nicole Wilson
Gender	Female
Speciality	Social Worker - Clinical
Location	615 W Harwood Rd, Hurst, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073168118
Provider Enumeration Date: 08/06/2019
Last Update Date: 08/06/2019

Medicare PECOS Information:

PECOS PAC ID: 5294257465
Enrollment ID: I20250317003204

Medical Identifiers

Medical identifiers for Mahogany Nicole Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073168118	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	61015 (Texas)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mahogany Nicole Wilson allows following entities to bill medicare on her behalf.

Entity Name	Alaniz Counseling And Behavioral Center Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811288731 PECOS PAC ID: 0648596924 Enrollment ID: O20150304000138

Entity Name	Sondermind Provider Network Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210326001541

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mahogany Nicole Wilson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mahogany Nicole Wilson, 420 N State Highway 360 Apt 2113, Mansfield, TX 76063-8705 Ph: () -	Mahogany Nicole Wilson, 615 W Harwood Rd, Hurst, TX 76054-3106 Ph: (817) 863-7099

Reviews and Comments

Social Worker in Hurst, TX

Dianne R Bippert, LCSW S Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 329 Hillview Dr, Hurst, TX 76054 Phone: 214-597-0215
Erin Dow, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1550 Norwood Dr Ste 104, Hurst, TX 76054 Phone: 682-710-1501
Robert Herald Hoskins, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 317 Harrison Ln, Hurst, TX 76053 Phone: 214-995-1461
Bailey Bishop Uhl, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8408 Trinity Vista Trl, Hurst, TX 76053 Phone: 469-964-8319
Meagan Reid, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 627 Arcadia St Apt 413, Hurst, TX 76053 Phone: 817-727-9921
Melinda Chance, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3109 Well Springs Dr, Hurst, TX 76053 Phone: 817-881-9266

Mahogany Nicole Wilson, - Medicare Clinical Social Worker in Hurst, TX